Stonycreek Rendezvous Rodeo

REGISTRATION FORM

Name:____________________

Address:___________________

City:________________ State:_______ Zip:______

Phone number:________________

Category: ( please check one in each group)

Male ____ Age: ____ Boat Type: K-1 _____

Female ____ C-1 ______ Canoe ______ Other ______

Skill Level: Advance _____ Intermediate ______ Novice _______

Registration fee: $5.00

Print and Mail to:

Stonycreek Rodeo Pre Registration

204 Mosshaven Way

Ligonier, PA 15658

A WAIVER FORM MUST BE SIGNED AND MAILED WITH REGISTRATION FORM IN ORDER TO BE CONSIDERED REGISTERED!!!!!!!!!!!!